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10/19/2009 MON 14:53 FAX 402 471 4429 UCC SECRETARX OF STATE -~~-+ Etall X002/002 <br />. Np 5ec et gq~a dnl.n A Gd• -UCC Ter <br />O~ . <br />O O ~ O ~ ~ ~ ~ 9809609955-3 Pes ; 1 <br />Please forward to: cucrrRa ~scosAe aosE R <br />Filed: 10/19/2009 10:18 AM <br />Nebraska Department of Revenue <br />45p0 Ave ~ PO Bax 1500 <br />Scottsbluff, NE 693b3-1500 <br />~,~~„~; State Tax Lien Statement ofi Termination or <br />~#E'~'EE Certificate of Partial Release or <br />www.Fw~rn ar.ur r.p, ewr <br />Subordination <br />PLEASE DO NQT WRITE IN THIS <br />Pursuant to the revenue laws of the-state of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duty filed by the Nebraska <br />Department of Revenue against the below-named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identification Number Federal Identification Number Social Security Number Spouse's Social Seci <br />43241028 ~_~_g02g <br />Lien Serial Number Lien filed with Date of Lien lax Category County <br />7201.0200 ^X Register of Deeds ~Counry Glerk 06/06/2008 22 M811 <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Jose R Guerra Escobar <br />treat or Mailing Address <br />1021 W 1 ~1 th Street <br />Gity <br />State Zip Code <br />Zip Goc <br />68801 <br />Grand Island NE <br />Type of Action <br />© TIcRMINATION OF TAX LIEN. The State Tax Lien is hereby fulty terminated. UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corpora, Individual Income, and wlthholdfng tax only) 2005 <br />200804922 <br />-- -- <br />-. <br />- --- - -A6tTJALRELEASE.--..-_._-__-.._The-State Tax~ienis- artiall -released-as-follows.......... _ _...................__....._ ...........:......-.....:..::..:.-.::::.:...:..:...::.._,......:.~... <br />:.:......__...._:..._..._....:.:~. <br />P y UCC`"Irist"rument'`'Num" tier"""""` <br />County Instrument Number <br />TAX YEARS (corporate, individual Income, and wlthholdfng tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />.. r i, <br />~ ....•...~ ...o. W ~.cv~aana vcNaiunant w RtlvCnud nos CAmpneO Wltn Ina reVenlJe 18W$ Or Gle Slate pt NeGraSka 111 <br />• date anon of the to nation, partial release, or subordination indicated above. <br />sign ~ Revenue Agent 10/15/2009 308 632-1200 <br />here re er•s ignatu Titl ~ .._~ Date Telephone Number <br />10/15/2009 <br />Authorized Signature Title Date <br />4-23288 Rev. B~fi Superardes 423259 Rev. 10-95 <br />~. <br />